Fairest Stevenson-Matthews, DNP, MSN, RN

Primary specialty

Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X

License

855363 Issued in MS

Practice address

509 Asbury Lane Dr
Pearl, MS 39208-9314

Phone

(601) 502-6937

NPI assigned

Dec 27, 2020

Last updated

Dec 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1548857402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54554",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392884554",
            "telephone_number": "601-502-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ASBURY LANE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089314",
            "telephone_number": "601-502-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON-MATTHEWS",
        "first_name": "FAIREST",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MS",
            "license": "855363",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "MS",
            "license": "855363",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MS",
            "license": "855363",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MS",
            "license": "855363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aspiritualtwist@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business Cybersecurity",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ESET",
            "address_1": "509 Asbury Lane Dr",
            "city": "Pearl",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392089314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brock James Smith
• Southeast Foods, Inc. (County Market Pharmacy)
• St Dominic Medical Associates
• Stay Home Health Services
• Helen Stephenson
• Candace Stewart, NP
• Sonja T Stiff, D.M.D.
• Emily Pate Suggs, LPC
• Super D Drugs Acquisition Co. (Super D Drugs #139)
• Barbara L Tapps, FNP

• Registered Nurse in Pearl, MS
• Providers in Pearl, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.